west virginia success stories

WV Local Success Stories
Quality improvement endeavors can often feel overwhelming, but chances are, you can learn from the experiences that another physician, hospital or nursing home has had in a similar situation. Coupled with support from Quality Insights Quality Innovation Network, learning what has worked for others — and what didn't — is a valuable strategic planning component. 

We encourage you to read the success stories, contact us for more information, and also let us know if you have a Quality Insights' success storyto share.

Thanks to encouragement and guidance from West Virginia Medical Institute (WVMI) nurses Jill Aliff and Paula Clark, Beckley Physicians Group in Beckley, West Virginia was able to recognize an error in its Physician Quality Reporting System (PQRS) reporting that could have cost the practice its payment. Thanks to encouragement and guidance from West Virginia Medical Institute (WVMI) nurses Jill Aliff and Paula Clark, Beckley Physicians Group in Beckley, West Virginia was able to recognize an error in its Physician Quality Reporting System (PQRS) reporting that could have cost the practice its payment.

As a result of a successful partnership with the West Virginia Medical Institute (WVMI) through the Emergency Department (ED) Transfer Communication pilot project, Broaddus Hospital in Philippi, West Virginia realized after data abstraction during the 3rd quarter of 2013 the need to make an important update to a transfer form in their electronic medical record (EMR).

Members of the health care community in the northern panhandle of West Virginia are making strides in partnership development as a result of collaborations with the West Virginia Medical Institute’s (WVMI) Care Transitions project.

Through a collaborative effort with the West Virginia Medical Institute (WVMI), Pleasant Valley Hospital in Point Pleasant, West Virginia, was recently selected as a Top Performer on Key Quality Measures by the Joint Commission. The Joint Commission’s Top Performer on Key Quality Measures program recognizes accredited hospitals that attain excellence in accountability measure performance.

Good Shepherd Nursing Home in Wheeling, West Virginia, received a rare deficiency-free survey this year from the Quality Indicator Survey (QIS) process implemented by the Centers for Medicare & Medicaid Services (CMS).

The West Virginia Medical Institute (WVMI) submitted an application in July to the Centers for Medicare & Medicaid Services (CMS) to recognize the Beckley Community Coalition (BCC) as a Formal Care Transition Program. The Coalition was approved and WVMI staff credit the partnerships and community-building efforts with local organizations as part of that success.

Providers with Charleston Family Practice were able to successfully report and receive Physician Quality Reporting System (PQRS) incentive payment for 2012 with the help of West Virginia Medical Institute (WVMI) staff.

Wayne Nursing and Rehabilitation Center in Wayne, West Virginia, recently received a national Bronze Award from the American Health Care Association (AHCA) for demonstrating the ability to improve a process through the reduction of physical restraints. Award recipients were recognized during the closing general session of the 2013 AHCA Annual Convention and Expo in Phoenix, Arizona on October 9, 2013.

The staff at Davis Memorial Hospital take care recommendations to heart. For the hospital’s infection prevention program, researching and following national standards and recommendations propels improvement. One specific area staff targeted was Catheter Associated Urinary Tract Infections (CAUTIs).

More than a year ago, Janet Squires became the Director of Nursing and Jamie Taylor became the Assistant Director of Nursing at the Sundale Rehabilitation and Long Term Care facility in Morgantown, West Virginia. At that time, the facility housed 10 residents with pressure ulcers and 17 residents with general skin breakdowns. With the help of Pam Meador at the West Virginia Medical Institute (WVMI) and under the direction of Medical Director Dr. Vincent Delagarza to improve skin care at the facility, that rate has reduced dramatically to eight overall pressure ulcer/skin breakdowns, five of which belong to terminally ill residents who are commonly at high risk for these skin conditions.

Thanks to the partnership efforts of two community hospitals and multiple health care providers in the Beckley area, many Medicare beneficiaries are positioned to face fewer unnecessary 30-day hospital readmissions.

Staff at the Brandon Cestaric Family Medicine (BCFM) facility in Ripley, West Virginia took initiative and overcame challenges to be the first practice in West Virginia to submit Physician Quality Reporting System (PQRS) measures for 2012 using Direct Electronic Health Record (EHR).

Heart disease and stroke are two of the leading causes of death in the United States. Million Hearts™ is a national initiative launched by the Department of Health and Human Services in September 2011 to provide education and resources to people across the U.S. to prevent 1 million heart attacks and strokes over the next five years. To achieve this goal, Million Hearts has partnered with public and private health sectors to support the program through a wide range of activities. One of those partners is the West Virginia Medical Institute (WVMI).

In January, the West Virginia Medical Institute invited Thomas Health System to take part in a care transitions project to reduce its readmission rates.

Thomas Health System, which includes Thomas Memorial and St. Francis hospitals, was already part of a busy community quality improvement collaborative, according to Director of Care Management Melinda Hutchison.

In the average West Virginia nursing home approximately seven of every ten patients have dementia; however most clinicians are not instructed on how to treat it. Many times, dementia is masked as a behavior problem, and the patient is often discharged and re-routed to many different facilities, never receiving the care they deserve.

Raleigh General Hospital and Beckley Appalachian Regional Hospital, or BARH, were each working on initiatives to lower their own readmission rates when RN Project Coordinator Julie Mobayed of the West Virginia Medical Institute contacted each of them separately. Mobayed invited each hospital to participate in a project that would bring them together to work on a common goal of reducing unnecessary hospital readmissions and improving care for their patients.

The staff at Berkeley Springs Rehab & Nursing touts teamwork as their greatest asset. Just a few months ago, in August, Berkeley Springs was reporting 21 physical restraints. Now, less than a year later the facility is restraint free, currently reporting 0 restraints.

Cabell Huntington Hospital’s administrators can take pride in a recent initiative that has decreased the likelihood patients will be readmitted to the hospital within 30 days of their stay. About one-fourth of Americans are readmitted to the hospital, which can prolong recovery and increase the costs of care.

Madison Medical’s doctors, nurses and staff members can take pride in a three-year initiative that increased the practice’s ability to use its electronic health record to track preventive care. Many Medicare beneficiaries fail to take advantage of services to prevent disease and to detect it early when it is most treatable so complications can be avoided.

Administration, nurses and staff members at Pleasant Valley Nursing and Rehabilitation Center can take pride in a three-year initiative that reduced its use of physical restraints.

Three percent of long-term residents in nursing homes nationally are physically restrained, while West Virginia has a rate of two percent. Residents who are restrained daily can become weak and develop pressure ulcers or other complications. Physical restraints can even result in injury and death.

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